﻿<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="utf-8">
    <title>{REPORT_TITLE}</title>
    <link rel="stylesheet" href="{STYLE}?v=1,32." type="text/css" media="screen" />
</head>
<body>
    <div class="container-fluid">
        <div class="row-fluid">
            <div class="span9">
                <h2 class="central">
                    PAYMENT VOUCHER</h2>
                <br />
                <table class="goods-detail" align="center" cellspacing="0" cellpadding="0" border="1">
                    <tr>
                        <th align="left">
                            Voucher Number:
                        </th>
                        <th align="left">
                            Project Name:
                        </th>
                        <th align="left">
                            Project Number:
                        </th>
                    </tr>
                    <tr>
                        <td align="center">
                            {REQ_NO}
                        </td>
                        <td align="center">
                            {PNAME}
                        </td>
                        <td align="center">
                            {PNUMBER}
                        </td>
                    </tr>
                    <tr>
                        <th align="left">
                            Date:
                        </th>
                        <th align="left">
                            Request for Payment Number:
                        </th>
                        <th align="left">
                            Purchase Order Number:
                        </th>
                    </tr>
                    <tr>
                        <td align="center">
                            {DATE}
                        </td>
                        <td align="center">
                            {RFPNO}
                        </td>
                        <td align="center">
                            {PONO}
                        </td>
                    </tr>
                    <tr>
                        <th align="left" colspan="3">
                            Mode of Payment:
                        </th>
                    </tr>
                    <tr>
                        <td align="left" colspan="3">
                            {PAYMENTMODE}
                        </td>
                    </tr>
                    <tr>
                        <td align="left">
                            Project Bank Account:
                        </td>
                        <td align="left" colspan="2">
                            {PBNKACC}
                        </td>
                    </tr>
                </table>
                <br />
            </div>
            <div class="span3">
                <table>
                    <tbody>
                        <tr>
                            <td>
                                <img src="{LOGO1}" alt="" />
                            </td>
                        </tr>
                        <tr>
                            <td>
                                <img src="{LOGO2}" alt="" />
                            </td>
                        </tr>
                        <tr>
                            <td>
                                DANISH REFUGEE COUNCIL
                                <br />
                                Borgergade 10
                                <br />
                                DK-1300 Copenhagen
                                <br />
                                Denmark
                                <br />
                            </td>
                        </tr>
                        <tr>
                            <td style="padding-top: 5px;">
                                COUNTRY OFFICE, UGANDA
                                <br />
                                4688 Kalungi Road
                                <br />
                                Muyenga, Kampala
                                <br />
                            </td>
                        </tr>
                        <tr>
                            <td>
                                <a href="http://WWW.drc.dk">WWW.drc.dk </a>
                                <br />
                                <a href="http://WWW.danishdemininggroup.dk">www.danishdemininggroup.dk </a>
                            </td>
                        </tr>
                    </tbody>
                </table>
            </div>
        </div>
        <div class="row-fluid">
            <div class="span12">
                <table align="center" cellspacing="0" cellpadding="0" border="1" class="goods-detail">
                    <thead>
                        <tr>
                            <th style="width: 15%; text-align: center;">
                                BL
                            </th>
                            <th style="width: 50%; text-align: center;">
                                Payment Details
                            </th>
                            <th style="width: 17%; text-align: center;">
                                Account Code
                            </th>
                            <th style="width: 17%; text-align: center;">
                                Amount
                            </th>
                        </tr>
                    </thead>
                    <tbody>
                        {DETAILS}</tbody>
                    <tfoot>
                        <tr>
                            <th colspan="3" align="right">
                                <strong>Total Amount:</strong>
                            </th>
                            <td align="right" colspan="5">
                                {TAMOUNT}
                            </td>
                        </tr>
                    </tfoot>
                </table>
            </div>
        </div>
        <div class="row-fluid">
            <div class="span12">
                <table align="center" cellspacing="0" cellpadding="0" border="1" class="goods-detail">
                    <tr>
                        <td style="width: 23%;">
                            Amount In Words:
                        </td>
                        <td>
                            {AMOUNT_IN_WORDS}
                        </td>
                    </tr>
                    <tr>
                        <td>
                            Payment to (Supplier Name):
                        </td>
                        <td>
                            {SUPPLIER}
                        </td>
                    </tr>
                </table>
            </div>
        </div>
        <div class="row-fluid">
            <div class="span12">
                <table align="center" cellspacing="0" cellpadding="0" border="1" class="goods-detail">
                    <thead>
                        <tr class="gridheader">
                            <th width="20%">
                                Authorization
                            </th>
                            <th width="27%">
                                Prepared by
                            </th>
                            <th width="27%">
                                Authorized by
                            </th>
                            <th width="26%">
                                Received by
                            </th>
                        </tr>
                    </thead>
                    <tbody>
                        {AUTHORISATION}</tbody>
                </table>
            </div>
        </div>
    </div>
</body>
</html>
